HomeMy WebLinkAbout0540 Declaration of Domicile and Gitizenshi i ~
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T01~ Ct.E~tK OF THE CIEtCU1T COUAT.
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?Mis b eq~r deelantba o~ Domktis and Cltireashtp !n tbe 8tata ot ~'lorida ttu~ I am 61ia~ tlds dy in ~aocdane~. and in
~oeQoeaalty witA S~etion 22Z.1T. Flacida Statuta. . '
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I was t~ a 1Ka1 ieaident ot t~ ~ ' ' asd I
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e~tid~d at ~,,,~l~~Q.C~1~~C...._ .2 Ho+wwt. I Aaw e ged my domicile to
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aed am sad ba~~ been a boaa Gde sesideat oi tlie State oI Flocida aiaee ~ ~lyr ot
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C- 1~~~ and I eesid~ at ~
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- ST. LUG 1 E Cow,cr•
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sad t6t~stateaicat b to Ds takea a+ mqr dec4rstion oi atiunship. actual kgal raideaee aad domieile in t6e Stato oI F'brida.
IP iOR THE ~UR.POSE Of ENRQLIING IF~POR HOMESTEAD PURPOSES~
CMILOREN IN SCHOOL~ PLEASE STATE ttEASE CHECKt ~
tNE1R NAMES:
. fItEO~1 Np RE ORDfO
' ST. LUCIE COU~TY ftA. -
ROCER POITRAS
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I FURTEiER CEBTIf'Y that I wn71 regisier at m~ loca! addresa ~rbea the registration booics reopea. and eompir w~ith all
otber rcquirrmeata ol s kgal resident ot this State. -
I FURTHE~ CERTIFY~ that I have ao inteatioa to return to my former domic~e. snd I iatcnd to nmain in
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Florida, pernianeau;.
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Sworn bserfbed bctore me this day o[
~ ' A.D. l9~
ROGER P01 TRAS. CL~RK OF C 1 RCU I T COI~tT
ST. LUC 1 E COUNTY, f ~OR 1 UA ~
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UTY IERK
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